SANNIU LIU-LEZAMA PMHNP-BC
NPI 1194076703
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Q: What is Sanniu Liu-lezama's NPI number?

The NPI number for Sanniu Liu-lezama is 1194076703. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Q: What is Sanniu Liu-lezama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sanniu Liu-lezama was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2012PECOS Enrolled

7901 BROADWAY, ELMHURST, NY 11373(718) 334-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Apr 25, 2022, Sep 27, 2019 and 6 more (9 updates tracked since 2019).

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About Sanniu Liu-lezama Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANNIU LIU-LEZAMA PMHNP-BC (NPI 1194076703) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (402478) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194076703

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSANNIU LIU-LEZAMACredential: PMHNP-BC

Location Address7901 BROADWAYElmhurst, NY 11373-1329

Mailing AddressElmhurst Hospital, 79-01 BroadwayElmhurst, NY 11373-0000

Phone(718) 334-4000

Sole ProprietorNo

Enumeration DateSeptember 21, 2012

Last NPPES UpdateApril 30, 20249 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1194076703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 402478

7901 BROADWAY, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanniu Liu-lezama Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL ADRIAN POWELL P.A

Physician Assistant